Connie Baker July 2021 Semi-Annual CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The C10H Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
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3 CANDIDATE/ MS/MRS MR FIRST MI OFFICEHOLDER C Jo o n 1 OFFICE USE ONLY
j�
NAME ................................................................................
Dat Received
NICKNAME -- LA T SUFFIX RECEIVED
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE JUL 1 YOz1
OFFICEHOLDER
MAILING
ADDRESS Fes- (n•e- 1��O D c ,) �1 1 /t City Managers/City
❑ Change of Address 5 r , � h v 1 Secretary's Office
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand-delivered or Date Postmarked
OFFICEPHONE HOLDER C n [ /b` U �
y7 / - `� Igi
Receipt# I Amount$
6 CAMPAIGN M /MRS MR' FIRST MI
TREASURER /
NAME l U r r�L L . Date Processed
NICKNAME LA SUFFIX
Date Imaged
Y
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS r� I I MQ r� O c J •� LJ f1 Y� \ x [ C��C'
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE k I y(' ` .'(-i ! ( C 4
4
9 REPORT TYPE El January 15 ❑ 30th day before election ❑ Runoff L r—1 15th day after campaign
treasurer appointment
(Officeholder Only)
July 15 ❑ 8th day before election Exceeded Modified ❑ Final Report(Attach C/OH-FIR)
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED �, `/ � �
�(f THROUGH '
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
❑ General ❑ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
GENERAL COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
6 n -e- ba-ke Y-
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS,OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ I U)�
. . . . . . . . . . . . . . . . . . .
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY G� J
BALANCE OF REPORTING PERIOD $
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15,Election Code.
-7
Signature of Candidate or Officeholder
Please complete either option below:
(1)Affidavit +° �''�. ROSA A. RIOS
=o.�'...' Nolary Public,State of Texas
Comm.Expires 05-23-2024
Notary ID 8760780
NOT ST
Swom to and subscribed before me by �l7/!i� //_ A�i44E� this the day of
20 2U to certify which,witness my hand and I of office.
Signature of officer administering oath Printed name of officer administering oath Titl of officer administering oath
(2)Unsworn Declaration
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County,State of on the day of .20
(month) (year)
Signature of Candidate/Officeholder(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
e o .-D
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. FX SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS
$ _f DI�a,bd
2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
c.
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $ is
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. SCHEDULE 172: UNPAID INCURRED OBLIGATIONS $
i
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ /y
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
10_ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ^
12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $
TO FILER
Forms provided by Texas Ethics Commission www.ethics_state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule At:
2 FILER NAM 3 Filer IQ (Ethics Commission Filers)
b B0-6
4 Date 6 Full name of contributor ❑out-of- to PAC(ID#: 7 Amount of contribution ($j
TRE% &XAs /A ss a cL -+i o-� o F Kej 4o rs
/ .......r.6.I►11.c.C.1... � 0....QA rY, rn t�
ob6 Contributor address; City; State; ZipCode �( J s
P� &X d, q-(, A-(AS I n
$ Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
�ea- - 3Y5
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($}
...................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
..................................................................................
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE SCHEDULE F1
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office OverheadlRental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalarieslWages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER N ME 3 Filer ID (Ethics Commission Filers)
nyiie- 8a*,o-K
4 Date 5 Payee name / / /cC— l C 11
C) „?o a�1 I -TREPAN .i�a5 4ss.0CI& / d DA kea-A?C-5 0 min qz-
6 Amount ($) 7 Payee addr ss; City; State; Zip Code
UDC. �� )X )- �Z
8 (a) Category (See Categories listed at the top of this schedule) (b) Description•d' I
PURPOSE 2e (-'^-4
OF h y�
EXPENDITURE C C6—
(c) Check if travel outside of Texas.CompleteSchedrileT ❑ Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete ScheduleT. EJ Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas.Complete ScheduleT. Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020